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World Journal of Surgery

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01-12-2020 | Mastectomy | Innovative Surgical Techniques Around the World

A Novel Breast-Conserving Surgical Technique in the Management of Phyllodes Tumours of the Breast

Authors: Eugenia C. Ip, Owen Ung

Published in: World Journal of Surgery | Issue 12/2020

Abstract

Background

Despite advances in oncoplastic breast-conserving techniques, very large phyllodes tumours (PT) may still be recommended for mastectomy.

Methods

We report a novel 2-staged breast-conserving technique that enables smaller excisional volumes whilst maintaining safe oncological excision. Stage-1 is a capsular dissection via a posterior glandular approach without sacrifice of native breast volume. Stage-2 is a delayed localised resection of the seroma cavity providing a circumferential “margin”. Two cases are presented.

Conclusion

This novel technique preserves the breast, optimises cosmesis and is a safe approach to the surgical management of large PT.

Adesoye T, Neumn H, Wilke L et al (2016) Current trends in the management of phyllodes tumors of the breast. Ann Surg Oncol 23:3199–3205CrossRefPubMedPubMedCentral

Lu Y, Chen Y, Zhu L et al (2019) Local recurrence of benign, borderline and malignant phyllodes tumors of the breast: a systematic review and meta-analysis. Ann Surg Oncol 26(5):1263–1275CrossRefPubMed

Strode M, Khoury T, Mangieri C et al (2017) Update on the diagnosis and management of malignant phyllodes tumors of the breast. The Breast 33:91–96CrossRefPubMed

Engel J, Kerr J, Schlesinger-Raab A et al (2004) Quality of life following breast-conserving therapy or mastectomy: results of a 5-year prospective study. Breast J. https://doi.org/10.1111/j.1075-122X.2004.21323.xCrossRefPubMed

Cochrane R, Valasiadou P, Wilson A et al (2003) Cosmesis and satisfaction after breast-conserving surgery correlates with the percentage of breast volume excised. Br J Surg 90:1505–1509CrossRefPubMed

Title: A Novel Breast-Conserving Surgical Technique in the Management of Phyllodes Tumours of the Breast
Authors: Eugenia C. Ip
Owen Ung
Publication date: 01-12-2020
Publisher: Springer International Publishing
Keywords: Mastectomy
Seroma
Published in: World Journal of Surgery / Issue 12/2020
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-020-05748-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A Novel Breast-Conserving Surgical Technique in the Management of Phyllodes Tumours of the Breast

Abstract

Background

Methods

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Conclusion

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